Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Wayne Kenneth Manness, MD

Individual provider Diagnostic Radiology Physician · NPI 1710936497

Dr. Wayne Kenneth Manness, MD is a Diagnostic Radiology in Peoria, Illinois. Graduated from Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc) in 1993, 33 years ago. Practices with Central Illinois Radiological Associates Ltd, a 204-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, Maryland, New Jersey and Ohio and 2 more.

Years since qualifying
33
Trained at
Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc)
Licensed in
IL, MD, NJ, OH, PA, VA
In the registry since
2006
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0914
Phone: (309) 655-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1709 Jumer Dr, Bloomington, IL 61704-0914 — (309) 665-0640

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036-099816 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0101242387 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 35.091090 (OH)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence D00661190 (MD)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 25MA06727700 (NJ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD057715L (PA)

Record details

NPI number1710936497
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 9, 2006
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024
Mailing address111 Oakwood Rd, East Peoria, IL 61611-1853

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolRUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated 1993 (33 years in practice)
Group practice Central Illinois Radiological Associates Ltd — 204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations29 on file with Medicare

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